Apologies, corrections in line below
Morris and Martens (2009: p. 277). A metaphor pointing limitations of approaches caused by applying isolated techniques at mapping a scientific research field.
The above paper contains an illustrated metaphorical picture of the state of affairs…
The Blind Men and the Elephant: A Metaphor to Illuminate the Role of Researchers and Reviewers
https://journals.sagepub.com/doi/abs/10.4256/mio.2013.015
The above paper is more direct, but the ancient picture itself, no matter what it’s modern guise, illustrates a fundamental human limitation.
I imagine the main barrier is not knowing what we don’t know.
Barriers possible represent an absence or something, such as the category of the ill-defined.
Here we invariably fall prey to our form-survival depends upon isolating the object from its background, and we like all creatures are constrained by our senses, which provides us with three dimensions and time. N-dimensional structures require modelling that holds constant anything greater than a cartoon in order for it to even begin to visualize process interactions for our understanding.... so....
As with all before me, presently I fall short tying to describe this phenomenon - Possibly the main barriers exists within the therapeutic space in which practice takes shape and into which all comers bring their own set of assumptions, beliefs, superstitions, etc. be they patients or practitioners, together with the institutions from which they emerge.
In the checklist I noticed “organizational readiness for change” as a category. My organization, greater than the sum of its parts, appears to have an independent existence wherein it seeks to perpetuate it’s form unchanged...
For example, at a recent big data talk, unlike the keynote speaker from the WHO, one of the conference leaders had no time to view the pedagogical event horizon, a three line illustration of an item not included in the published agenda.
Best of luck!
D
PS-anyone interested in this practice frame (narrow like all others) can contact me off-line.
Morris and Martens (2009: p. 277). A metaphor pointing limitations of approaches caused by applying isolated techniques at mapping a scientific research field.
The above paper contains an illustrated metaphorical picture of the state of affairs…
The Blind Men and the Elephant: A Metaphor to Illuminate the Role of Researchers and Reviewers
The above paper is more direct, but the ancient picture itself, no matter what it’s modern guise, illustrates a fundamental human limitation.
I imagine the main barrier is not knowing what we don’t know.
Barriers possible represent an absence or something, such as the category of the ill-defined.
Here we invariably fall prey to our form-survival depends upon isolating the object from its background, and we like all creatures are constrained by her senses which provides us with three dimensions and time. N-dimensional structures require Modelling that holds constant anything greater than a cartoon in order for it to even begin to visualize process interactions for our understanding.... so....
Here, as with all gone who have before me, presently I fall short of the phenomenon which I try to describe - Possibly therapeutic space into which practice takes shape and into which all comers bring their own set of assumptions, beliefs, superstitions, etc.
In the checklist I noticed “organizational readiness for change” as a category. My organization, greater than the sum of its parts, appears to have an independent existence wherein it seeks to perpetuate it’s form unchanged...
For example, at a recent big data talk, unlike the keynote speaker from the WHO, one of the conference leaders had no time to view the pedagogical event horizon, a three line illustration an item not included in the published agenda.
Best of luck!D
PS-anyone interested in this practice frame (narrow like all others) can contact me off-line.
Hi Catherine,
thanks, this tool is one i keep coming back to - although im looking for something specific to barriers rather than implementation planning.
kind regards,
Craig
From: Catherine Lowenhoff <[log in to unmask]>
Sent: Monday, 3 December 2018 7:08:06 PM
To: Craig Lockwood
Cc: [log in to unmask]
Subject: Re: Analysis of barriers to practice changeHi CraigThis isn’t specifically about barriers but I used the Theoretical Domains Framework ( Michie et al, 2005) to provide a systematic approach to explore determinants of practice.
Kind regardsCatherine LowenhoffDoctoral studentOxford Brookes University
Sent from my iPhoneDear All,
Im looking for frameworks that identify and classify barriers to practice in a way that is similar to how the EPOC (or other) taxonomies classify implementation strategies. Im about to start a pubmed search, and would really welcome your feedback/input on any known taxonomies/frameworks.
Thanks all,
Craig
Director: Implementation Science
The Joanna Briggs Institute,
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